MedNeutral For Insurance Carriers

Solution Components - Analysis

DigitizationIndexingAbstractionCollaborationAnalysis


The MedNeutral platform contains several tools that can be used to identify many forms of leakage including fraud/abuse, overpayment, and compensation for unrelated treatment.

These tools include filters for changes in provider, treatment, diagnosis, medication, and facility as well as embedded logic which highlight gaps in service and missed appointments.

Once medical records have gone through the MRO process, they become a knowledge asset that can be utilized to perform targeted data mining and predictive modeling. It is here that organizations reap the greatest benefit from the MedNeutral platform.

Collaboration

What are benefits of Analysis?

  • Rapid identification of diagnosis and treatment anomalies resulting in improved accuracy and decreased fraud

  • Improved fact set with which claims personnel can have discussions and negotiations with claimants and claimant representatives

  • Creation of data repository for future use in predictive modeling applications